Individual
MRS. LEAH ALEXIS JUBELT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
94405A TIMBERLINE DR, FORT DRUM, NY 13603-3264
(315) 420-0044
Mailing address
94405A TIMBERLINE DR, FORT DRUM, NY 13603-3264
(315) 420-0044
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/07/2012
Last updated
06/07/2012
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